TY  - JOUR
PY  - 2018//
TI  - Suicidal thoughts and behaviors among first-year college students: results from the WMH-ICS Project
JO  - Journal of the American Academy of Child and Adolescent Psychiatry
A1  - Mortier, Philippe
A1  - Auerbach, Randy P.
A1  - Alonso, Jordi
A1  - Bantjes, Jason
A1  - Benjet, Corina
A1  - Cuijpers, Pim
A1  - Ebert, David D.
A1  - Green, Jennifer Greif
A1  - Hasking, Penelope A.
A1  - Nock, Matthew K.
A1  - O'Neill, Siobhan
A1  - Pinder-Amaker, Stephanie
A1  - Sampson, Nancy A.
A1  - Vilagut, Gemma
A1  - Zaslavsky, Alan M.
A1  - Bruffaerts, Ronny
A1  - Kessler, Ronald C.
SP  - 263
EP  - 273.e1
VL  - 57
IS  - 4
N2  - OBJECTIVE: College entrance may be a strategically well-placed "point of capture" for detecting late adolescents with suicidal thoughts and behaviors (STB). However, a clear epidemiological picture of STB among incoming college students is lacking. We present the first cross-national data on prevalence as well as socio-demographic and college-related correlates for STB among first-year college students. <br><br>METHOD: Web-based self-report surveys were obtained from 13,984 first-year students (response rate 45.5%) across 19 colleges in 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, and the United States). <br><br>RESULTS: Lifetime prevalence of suicidal ideation, plans, and attempts was 32.7%, 17.5%, and 4.3%, respectively. The 12-month prevalence was 17.2%, 8.8%, and 1.0%, respectively. About three-fourths of STB cases had onset before the age of 16 years (Q3 = 15.8), with persistence figures in the range of 41% to 53%. About one-half (53.4%) of lifetime ideators transitioned to a suicide plan; 22.1% of lifetime planners transitioned to an attempt. Attempts among lifetime ideators without plan were less frequent (3.1%). Significant correlates of lifetime STB were cross-nationally consistent and generally modest in effect size (median adjusted odds ratio [aOR] = 1.7). Nonheterosexual orientation (aOR range 3.3-7.9) and heterosexual orientation with some same-sex attraction (aOR range 1.9-2.3) were the strongest correlates of STB, and of transitioning from ideation to plans and/or attempts (aOR range 1.6-6.1). <br><br>CONCLUSION: The distribution of STB in first-year students is widespread, and relatively independent of socio-demographic risk profile. Multivariate risk algorithms based on a high number of risk factors are indicated to efficiently link high-risk status with effective preventive interventions.<br><br>Copyright © 2018 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0890-8567
UR  - http://dx.doi.org/10.1016/j.jaac.2018.01.018
ID  - ref1
ER  -